Ringing with pulsatile tinnitus

Ringing with Pulsatile Tinnitus:

When ringing is experienced alongside pulsatile tinnitus, it means that a person is hearing both continuous, non-rhythmic sounds (like a ringing, buzzing, or hissing) as well as rhythmic pulsing sounds that are in sync with their heartbeat. This combination can create a complex and distressing auditory experience.

• Ringing refers to the constant or intermittent perception of sounds, such as a bell ringing, buzzing, or humming, in one or both ears. This sound is often heard without an external source and is common in general tinnitus.

• Pulsatile tinnitus, on the other hand, is the perception of rhythmic, pulsing sounds that match the beat of the person’s heart. This type of tinnitus is often associated with changes in blood flow or vascular conditions near the ear.

When both symptoms occur together, it can indicate that multiple factors are contributing to the tinnitus. Some possible causes include:

1. Vascular issues: Conditions such as high blood pressure, atherosclerosis, or blood vessel abnormalities can lead to both the pulsing and the ringing sounds. Blood flow changes or turbulence near the ear can produce the pulsating sound, while vascular health issues might also cause damage to hearing structures, leading to ringing.

2. Middle ear conditions: Eustachian tube dysfunction, ear infections, or fluid buildup in the middle ear can affect both the normal hearing process and blood flow, resulting in both types of tinnitus sounds.

3. Hearing loss: Age-related hearing loss or damage from noise exposure can result in ringing sounds, while circulatory issues or vascular changes can contribute to the pulsing sensation.

4. TMJ disorders: Problems with the temporomandibular joint (TMJ), which connects the jaw to the skull, can lead to both ringing and pulsatile tinnitus, as the jaw and ear structures are closely linked.

5. Tumors or abnormal growths: Rarely, conditions such as a glomus tumor or acoustic neuroma can cause both pulsatile and ringing tinnitus by affecting blood flow or pressing on auditory pathways.

For individuals experiencing both ringing and pulsatile tinnitus, it’s essential to seek medical evaluation to identify the underlying cause. Treatment may include managing the root cause (e.g., treating vascular issues), sound therapy to mask the ringing, or specific interventions for ear-related conditions.